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Open Removal Of A Kidney Stone

Illinois rates for HCPCS 50070

An operation in which the kidney is reached through an incision in the flank and opened so that a stone can be taken out directly. It is used when a stone cannot be treated with shock waves or through a scope, for instance because of its size or the shape of the kidney.

Rates data updated July 2026.

How much does Open Removal Of A Kidney Stone cost?

$1,585

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,585 for this service. The price depends on where it is billed: about $1,445 from a physician practice, and about $2,239 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,445$1,202 to $2,188
FacilityA hospital or hospital-owned outpatient department$2,239$1,259 to $5,129

How much rates vary

Facilitymedian $2,239 · 10th to 90th $1,148 to $9,772Professionalmedian $1,445 · 10th to 90th $1,096 to $2,818
$200$500$1K$2K$5K$10K$20Kfacility $2,239professional $1,445

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$2,238.72
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,258.93
Typical High
$2,570.40
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$18,620.87
Typical High
$35,481.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,621.81
Typical High
$2,454.71
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,949.84
Typical High
$5,128.61
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,479.11
Typical High
$1,621.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$2,884.03
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,621.81
Typical High
$2,570.40

Where Illinois sits

The same service costs 3.9 times more in California than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 28th of 51

$1,585

CA $4,898WV $1,259

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.